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1986-205 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK DateOctober 20 1986 86-295 This is to certify that work requested to be done as shown by Permit No. I has been completed. One—Family Dwelling This structure may be occupied as • Location Lot 29 Lady Slipper Drive (St. No. 5) Peggy Ann Park Subdivision Owner Margaret'f4. Carpenter By Order Town Board WN OF QU SgUURY Bu' n{ b Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-205 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Margaret A. Carpenter Lot 29 Lady Slipper Drive (St. No. 5) Street,Road or Ave. OWNER of property located at Peggy Ann Park Subdivision in the Town of Queensbury,To Construct or place a One—Familv Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. w 1. OWNER'S Address is Apt. 8C Manor Drive m Glens Falls, New York rt a n 2. CONTRACTOR or BUILDERS Name John Heath, Jr. N H Tf It rt m H 3. CONTRACTOR or BUILDERS AddressRD ill Whitehall, New York 4. ARCHITECT'S Name m o w rt 00 'C ru m q t' 5. ARCHITECT'S Address 0•a ro� . w H co N;r 6. TYPE of Construction—(Please indicate by XI 'O re H IX)Wood Frame ( 1 Masonry I 1 Steel I 1 td H F+ 7. PLANS and Specifications m 68'x37' per plot plan, specifications and application submitted N No. including sewage system and two-car attached garage. ,. 0 B. ProposedUse ' One-Family Dwelling Ln $5.00 CIO Paid $ 129.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 1986 n (If a longer period is required a for an extension must be made to the Building end Zoning inspector of the N town of Dueansbury before the expiration date.) 6 H.Dated at the Town of Queensbury this 8th Day of 19 May 86 ,a tm /� SIGNED BY i di /5,, ✓��() for the Town of Queensbury 8i10. Building and Zoning Inspector - C oo TO BE COMPLETED BY BLDG. DEPT. I Application No. .awn QueensItery Permit Issued 19 G BUILDIN:i and ZONING DEPARTMENT Permit Expires 19 TOWNOF QUEEN.BU•'"' Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation RECEIVED Queensbury, New York 12801 Variance No. .If�p� Site Plan Review No. MAY 1 1986 . • I! f Approved by: AM ( (3Y Le.y,M 78g�f APPLICATION FOR ✓ I, Ipm7g 1 . ' I2•I3I4I616 . c,f- (<)1(3 BUILDING AND ZONING PERMIT * * * * * * * * * • * * * * * * * * * * * • * * * * * r * * * * * * * * * • .:• A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such special conditions as may be indicated on the Permit. The owner of this property is: ////52,729 e/ /`r 1/9rE',-, 76../t P.O. Address //2,P/ ,9?; ,2 9,71,4/c .L�� "//6/o Tel. Property Location: // /(v/1/f ;;-elf /(/` _ Tax Map �N.yo. 90 / `� /d7 Street number or building lot n er���� • Sr.f+f Subdivision name (if applicable) �j7y ,4ry J'/.75 'cpi l6�) ' /O/ 7 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: • Name P.O. Address Tel. No. G�,6..��9/� /C,P/ /,///,air// ,e zt �� Name of builder + r.' Address 11�2/-1Te1. 3l " -1 3 Name of plumbers A/ycq,/y / J Address / , . • Tel. G sj3 7,j c 35 - z Name of mason � 1,-,. 6-,Cry6.11,„- Address t_'/p„_ `e9-/Tt> /.4,ye.x/'Tel. 7*,,q- so/ v oewcae7e tee 77,o.vrinX /ypoa/o 6.e.9....ra= & - / ,FcvC, NATURE OF PROPOSED WORK: * ZONING INFORMATION: )construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, _Addition to a building * drawn reasonably to scale and attached hereto, Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property lines. Give _ * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property /5-0 ft X_is- ft. * Existing building(s) Site ft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use / Size of new structure,f,- (}ft X (eS ft * Foundation-pier/slab/or wl/partial/full * Proposed building, distance from property line (circle one) * * Front yard 30 ft Rear yard v'-�,e / ft No. of stories (habitable space) I * Side yards 1 S ft and .p ft Height (grade to ridge) / 3 ft. x If on corner, setback from side street a j ft If residential, no. of families / No. of rooms(excluding baths) 7 * OCCUPANCY INFORMATION No. of bedrooms 3 * No. of bathrooms 2., • PRIMARY BUILDING - Primary heating system ii,4,„j il, " 11fo family dwelling * '11fo family dwelling Type of irfuel to be 'i G * Multiple dwelling / Number of units No. of fireplaces to be installed / —permanent occupancy Will a wood stove be installed? },k5 ` — * Transient occupancy Central Air conditioning? MWD 4Y',5 * __Business BUILDING STYLE, PRIMARY STRUCTURE _Industrial , Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition, what will use be. Split level Old style Bungalow * Cape Cod Cottage Other * AGCESS ORY BUILDING- i Colonial Row Town House IAY[� Detached garage/one car/ two car /4•7) car ( CIRCLE ONE PLEASE ) * w Attached garage/one car/ two r/ car * * * * * * * * * * * * * * * * * * ( Private storage building ESTIMATED MARKET VALUE OFI Other CONSTRUCTION $ (vS kOCD * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE. SIDE OF THIS SHEET, TO BE COMPLETED! Form DPA 4/86 and-v1 t BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. LY i70/2 76�/{jam''-zf� Will any second-hand or ungraded lumber be used? //If so, for what? / / e Foundation wall material en rbee/Y ✓,P#'ilThickness ,S , Depth of foundation below grade (to bot ooting) 7 S '=,3c " Will there be a cellar? yei Heated or u1fomnheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? A/c (If so, what port' o sq.ft. - - Type of use? Type of roof sloped/flat/shed/other Material of roof 11 j(LiS-;e / 5 A„ , Size, wood stu _ "X (p " spacing /{Tj o.c. length q . ' z Joists(floor beams) 1st. floor "X y p " spacing /e+ "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beam ) "X " spacing "o.c. span ft. Roof rafters EN(fNEb'4(fvy(t45 spacing jy' o.c. span XI'm° Roof trusses(prc-engineered) spacing cP-'/"o.c. spanrj''/Vft. Exterior wall finish JO: .1., CGlocer..va/7 Of what material? z%-- .�,4'f.cS Interior wall finish S/j,..c j.744z,,, I 1 If a garage is to be attached, describe materialz to be used fqr FIRE SEPARATION: 3/457 i7.C'P/O/3x Via' X ` F.P/..r Gc Lr Is the e to be an opening between garage and dwelling? Yp ,SIf so will a Fire-rated door, enclosure, and self-closing device be provided? /AC S Will a flue-lined chimney be installed? j I' Height 4bove roof. 2 C " ft. Depth of chimney foundation below grade ' k'� ,q 'ft. Depth of firepla rth ft. if`y,in. Water supply Municipal_ or private well SEPTIC SYSTEM Distance from ANY private well(including adjoining properties / , ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren AFFIDAVIT STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. SWORN TO BEFORE ME THIS Signature * � er, owner's agent,arcnitect,contractor ! day of /II"? 19 Sl(0' Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By 66/H6 Jown D' Q1efinSlury BUILDING end ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC��� DISPOSAL PEWIT APPLICATION Owner's Name Cy,,yc;� Si ; .� Tel. Address CI 4 KL Person/Firm installing system Dip,i Number of bedrooms (residential only) 'y Total daily flow: (compute @ 150 gal.per bedroom per day) 'i .I U Topography ' flat - rolling - steep - (circle one) Degree of slope _% Nature of soils: an -loam-clay- other- Depth ft. Ground water-- at what depth? filk ft. Bedrock or impervious material--at what depth? ry/A ft. Percolation Test - Not required Required -Rate min/inch. Domestic Water Supply Municipal- Well - Other IMPORTANT ! On a separate piece of paper, submit a diagram of the proposed septic system with all dimensions; including distance from any structure. distance from property lines and distances from any domestic water supply or shore-line of lake, stream, pond or. wetlands. Include all dimensions of the system itself. Description of proposed system: Septic tank size /ppfl gal. Tile field- Length of each trencher) ft. Total field J(00 ft. Size of stone % Seepage Pit (s) Number / Size ftX £t. Size of stone% Any contractor, corporation, individual,Etc. , engaged in the construction of a Sanitary Sewage Disposal System, who covers the same before inspection, does not have an approved Permit, or varies from the approved application, will be subject to a Penalty of $250 as provided for in Section 6. 010 of the Town of Queensbury Sanitary Sewage Ordinance. ignature of Applicant Date 01/86 and/vl Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of pueensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan shoving: 1) the proposed location of the system 2) location and distance to lot lines 3) location and distance to structures 4) location and distance to any water supply 5) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the .installer and a fine of up to S250.00. C. An approved copy of the plot plan shall be available•on the construction site. Failure to produce said plot plan at. time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the pueensbury Building Department before further construction . TOWN OF QUEENSBURY • WARREN COUNTY, NEW YORK • r Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. ANSWER ALL of the following: 1 . Gross floor area 78' 2 . Type of heat 4'y-le1-2-,%///72,0e 3. Is the building mechanically cooled? 4. Percentage of area of windows and doors A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to amuient conditions 2 . Floor over heated spaces YES NO a. Are foundation walls insulated? YES NO 1 . If YES, what is the R value? 3 . Slab on grade YES NO a. If YES, what is the R value of insulation around perimeter of floor? 4 . Is basement heated? YES NO a . R value of insulation 5. Type of insulation B. Under 16% Only 1. R value ofe roof and floors exposed to ambient conditions 2 . R value of exterior walls 67/ 9 3 . R value of glazed area /L -' L 4 . R value of doors C 5 . R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8. R value of heated basement/cellar walls (above grade). 2 9 . R value of heated basement/cellar/ walls (below grade) 3t 2- 10. Type of insulation /ij/[Py.Z;9cs- C. Controls 1 . Thermostat maximum heat setting D. Duct Systems 1 . Is duct system installed in unheated spaces? YES NO a. If YES , R value of duct installation b. R value of duct in other areas E . Piping Insulation 1. Size of hot water or cooling carrying agent pipe j/r/ 2. R value of pipe insulation F. Service Water Heating 1 . Performance efficiency 2. Temperature control setting maximum i ° G. For Swimming Pool Only 1 . Mu,. ..mum heating Telephone No. 4,59 °1J.0,-, a4 iY/ (applicant ' s signature) • 4001121 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY D1� z 91 STATE STREET.ALBANY.NEW YORK 12207 1 Date October 16, 1986 Application No.on file 010444-86 A 669052 a THIS CERTIFIES THAT I only the electrical equipment es described below and introduced by the applicant named on the above application number In the premises of § Margaret A. Carpenter, lady Slipper, pleenshury, New York 1 in the following iaca on f'gp�/8® Basement Ist FL El 2ndFL outside SectiorP° Block 7 Lot 29 , gwas examinedY/1 f� and found to be in compliance with the requirements of this Board. DOORS RSWITCHESS SWITCHES - = anon lCB INCWDIXEnr woerscEm M,n 1 28 46 26 28 4 fr DRYERS FURNACE MOTORS FUTURE APPLIANCE MORE SPECIAL f C PT. TITM CLOCKS eau MIT WATERS ANATIOUTIET DIMMERS o. DI w✓. wem } r ` 3f140 SERVICE DISCONNECT No.OF S E R v I c E Sy�p� MM. AMP. TYPE gip, I AT 2W I I SW S ISW I A SW HO CfJ.' W . oric.•OND. NO.011000 of at& NO.a N&NALL ofaam. 1 )00 cb 1 x 1 4/0 1 2/0 OTHER APPARATUS: 2- gfci Elec. Heaters: 4- 2.0 kw 2- stoke det 3- 1.75 kw § 2- 1.5 kw - 3- 1.0 kw 2- .5 kw a = John Heath / .. 10 1 BRANCH MANAGER E tiitehall, NY 12887 Per a = This certificate must not be altered in ony manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. - COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i'I /tc cj -town o/ Queenatur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Oueensbury, New York 12801 c./O " nip. 41/4 BUILDING INSPECTOR' S REPORT NAME Cavf t'e•- LOCATION Lot a9 La, yepp es. Date ie,j /84 Permit No. 86 - ter /''//�I(/�AF�L* ✓ = * * * * * * * * * * * APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs 6 Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION [ � DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- pp7 ` Aw 2 —cOM"— O DKO 130a0Thavd9 Cab 111, ,a3c1.02( 0,K. Po.44- repo 601/6 Building Inspector 6/86 and-vl • Jo' wn o/ Queendbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR'S REPORT NAME LOCATION '�/'� pY/ Date 9/1-7 q(� permit N . '8G _ a0`5 * * * * * * * * * * * * * * * * * * * 30 rm ✓ = APPROVED - YES J NO 0o ing/Pia d nns Foundation Waterproofing Backfill E aming ' hoofing b. lading \ Masonry Veneer Rough Plumbing lief Valves 0IK xt. Porches Nor P/K( eD Winished Floors 0.e. �terior Trim b,K Stairs & Railings S' ee C3elaO>1OQ Cellar Drain Tile Concrete Floors t.001bg. Fixtures �I I.G� Fireproofing r Closers purr (}a' 3/Q ,V nuke Detectors 0 K Chimney INSULATION: Foundation Floors Walls Ceiling . ✓F N e-'- -ACTION frail Building SukveyTh ' Next scheduled Inspection(call when ready) Remarks- - 0 crau.. ^ i riv is nb n Q �- ,r . torero4.4gt4 e nyttrit fairenie �\, � . � A % IS 0\44 Building Inspector 6/86 and-vl Jown Of BUILDING and ZO Bay and Haviland Ro Oueensbury, New Yo BUILDING INSPECTOR'S REPORT NAME 1 A Q .c.f. (/,CG'A"t"re'h_ LOCATION �„p'�' o� 9 _'r — awl. ,I/ t Permit No. �i1 Lbr yDate �// �__ * * * * * * * * * */ _ APPROVED - YES NO Footing/Pier Forms ' IOWFoundation _ Waterproofing _ Backfill _ Framing Roofing OMSiding _ Masonry Veneer Rough Plumbing _ Relief Valves Ext. Porches MINI Floors _ Interior Trim _ Stairs s Railings _ Cellar Drain Tile _ Concrete Floors Plbg. Fixtures 111,1111111 Gar. Fireproofing WAIIIII Door Closers NA Smoke Detectors =- Chimney INSULATION: Foundation _ Floors Walls _ Ceiling _ FINAL ELECTRICAL INSPECTION ImoFinal Building Survey Next scheduled Inspection(call-wheen,, ready) Remarks- - __AL _C/✓�w— Buil ing Inspector 6/86 and-vl 20 c� wOT4 . _own o/ Queenatury 1> BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME_ LCCATI04. Q DATE 0/7 $PERMIT NO. $ l. - a 05 SOIL TYPE - e- Loam - Clay - Percolation Required? YES -dp Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length /1ot Length of each trench ! Depth of trenches Size of of gravel l"; SEEPAGE PITS{Number of) — Size- — ft. X — ft. Gravel size PIPING: Size Type Bldg. to tank (_1 VO Tank to dist. box Dist. box to field/pit _ Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank (). ft. Foundation to absorption a0 ft*. Absorption to lot line i0 ft:f Separation of pits .- ft. ION OF SYSTEM ON PROPERTY(circle one) - Rear - Left side - Right side - 0 F. NTS: ci . to fork eJ2L 44 0C- Quic , we" , H , V l SYSTEM USE APPROVED '/'ES ie)060 Building Inspect 01/86 and vl ,fouin of Queenalury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Clueensbury, New York 12801 BUILDING INSPECTOR'S REPORT NAME cc,������ LOCATION Sl1 if>inn/ Dr. Date 7/ /210Vermit No. 86 -0205- * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches -I( Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors / Walls I/' 1C _ Ceiling rY FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- kp.� v e adz . hied. 1 Building I. pR ecEor 6/86 and-vl c7 1 awn of Queenibary BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Dueensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME LOCATION Date �/,2/ / Permit No. d 6 -a 05' * * * * * * * * * * * * * * * * * * * * * 1, ✓ v APPROVED - YES J NO Footing/Pier Forms Foundation Waterproofing Backfil1 Lerraming 01( Roofing Siding Masonry Veneer `'gaigh Plumbing Q,K Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar.. Fireproofing Door Closers Smoke Detectors Chimney ). C\N INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - (110/11aA -" Building Inspector 6/86 and-vl TOWN OF QUEENSBURY Building Department � Inspectors Report Date 1 tt'� Location L A-44 S7 w !fit Permit No. 1b - an- Weathe Remarks FootingiFo (� Footing Forms Footing a Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs s Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Foundation a (C.,X4J1 Walls , I ild ( g nspector REMARKS S' Y( 6 )c. 5 g i k 5 �ti C�,cc TOWN OF QUEENSBURY Building Department Ie.peetore Report Date .S'at� W Name ./e �" C4vpa.tc'-- l oermit Ncafiano. 4 ' P Weather o t '/ _ a0'J Remarks Excatation o Footing Forms Footing & ads 1/04 . Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproof in Door Closers Chimney Water Meter Inst. Septic Approval Floors Foundation Insulation Walls Ceiling to/I/1 2 Building Inspector REMARKS / r .S° Fr r,� G r V\ P y v, 'VI r. . O ;o "�r r �l r. K ul C ( r!^ 7 • — . / • f▪ i ' i J uC T r r Io-, f 1-1, N./N. a.; r-- 1 0 v . ' • 12' . - . . . -...... ... . . Irr. /...tltill • tr1rSY S l.L sins R ,JRivh Lot,cgs T C. io ' I. 0 1, 04O r s to(TA�IJ t `3 e Foam pwr. sox r c p 0,1 `tery - 4 C So Pr J 1 H r 102 Tit 6% EN VI LA VI n b e -1 , • MAR FPKCaT twos\iiE .. o Mor1aoe oe, vA , API' Sc -14$ - & S ,o tap i +/ '/ v i l